NPI | 1669526232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP00004227) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00037756) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-12-04 |